Current state of artificial intelligence in liver transplantation

Q4 Medicine
Ashley E. Montgomery , Abbas Rana
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引用次数: 0

Abstract

Over the past few decades, substantial progress has been made in the field of liver transplantation. Yet, challenges remain in the field due to an increasing organ allograft shortage as well as significant waitlist mortality. With these challenges, organ allocation policies have been developed and are constantly being modified to result in more efficient organ allocation. One tool that has been explored to improve the field of liver transplantation is artificial intelligence, which is an umbrella term for techniques such as machine learning and deep learning. This review article explores the use of artificial intelligence in the field of liver transplantation. Specifically, studies have shown potential applications of artificial intelligence in improving waitlist mortality models, assessing allograft characteristics, using large language models for research question development and patient education, developing post-transplant models, as well as predicting multiple risk factors such as cardiovascular disease, infection, graft failure, malignancy, graft fibrosis, and pneumonia. However, even with these studies, several limitations for the use of artificial intelligence exist such as biased data sets leading to biased model development, lack of extensive validation of the artificial intelligence models, and the need for large datasets for model development. With additional studies evaluating the use of artificial intelligence and wide-scale validation of these studies highlighted, the use of artificial intelligence may transform the field of transplantation in the future.
人工智能在肝移植中的应用现状
在过去的几十年里,肝移植领域取得了实质性的进展。然而,由于同种异体器官移植短缺的增加以及大量的等待者死亡率,该领域仍然存在挑战。面对这些挑战,器官分配政策已经制定,并不断修改,以实现更有效的器官分配。人工智能是改善肝移植领域的一种工具,它是机器学习和深度学习等技术的总称。本文综述了人工智能在肝移植领域的应用。具体而言,研究表明人工智能在以下方面的潜在应用:改进等候名单死亡率模型、评估同种异体移植物特征、使用大型语言模型进行研究问题开发和患者教育、开发移植后模型,以及预测多种危险因素,如心血管疾病、感染、移植物衰竭、恶性肿瘤、移植物纤维化和肺炎。然而,即使有了这些研究,人工智能的使用也存在一些限制,例如有偏见的数据集导致有偏见的模型开发,缺乏对人工智能模型的广泛验证,以及模型开发需要大型数据集。随着更多评估人工智能应用的研究和这些研究的大规模验证,人工智能的应用可能会在未来改变移植领域。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Transplantation Reports
Transplantation Reports Medicine-Transplantation
CiteScore
0.60
自引率
0.00%
发文量
24
审稿时长
101 days
期刊介绍: To provide to national and regional audiences experiences unique to them or confirming of broader concepts originating in large controlled trials. All aspects of organ, tissue and cell transplantation clinically and experimentally. Transplantation Reports will provide in-depth representation of emerging preclinical, impactful and clinical experiences. -Original basic or clinical science articles that represent initial limited experiences as preliminary reports. -Clinical trials of therapies previously well documented in large trials but now tested in limited, special, ethnic or clinically unique patient populations. -Case studies that confirm prior reports but have occurred in patients displaying unique clinical characteristics such as ethnicities or rarely associated co-morbidities. Transplantation Reports offers these benefits: -Fast and fair peer review -Rapid, article-based publication -Unrivalled visibility and exposure for your research -Immediate, free and permanent access to your paper on Science Direct -Immediately citable using the article DOI
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